Nurse Care Manager

Purpose Statement/Position Summary

The Nurse Care Manager performs complex discharge planning for patients of different ages and developmental levels with serious illnesses. Focuses on patients with complexities related to finance and/or resource utilization. Acts as advocate for the patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer satisfaction in a cost effective manner. Participates/facilitates in the development and outcome analysis of clinical pathways as a member of the multidisciplinary CQI team.

Minimum Qualifications/Work Experience

• 3+ years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience.
• Thorough knowledge of managed care, utilization management, discharges planning, and continuous quality improvement concepts.
• Computer Literacy.
• Strong interpersonal and negotiation skills.
• Fluency in both English and Spanish desired.

Education/Licensure/Certifications

• Bachelor’s Degree in Nursing required.
• Master’s degree in nursing, Health Care Administration, or related field preferred.
• CURRENT Registered Nurse licensure in the State of California.
• CURRENT BLS form the American Heart Association.